20th International Conference on Higher Education
The Role of the University in Bridging Civilisations

REGISTRATION FORM
 

PARTICIPANT PARTICULARS
First Name:
Middle Name:
Last Name:
Title: Prof. Assoc. Prof. Dr. Mr. Ms. Other
Gender: Male Female
Meal Preferences: Vegetarian Non-Vegetarian
Affiliation
(institution, organisation)
Request for Audio-Visual
Equipment
LCDProjector
Computer
OHP
Others
(will be informed upon
equipment availability)
Address
City
     
Zip Code Country
Phone Fax
E-mail Web Site



SPOUSE/ COMPANION PARTICULARS
First Name:
Middle Name:
Last Name:
Title: Prof. Assoc. Prof. Dr. Mr. Ms. Other
Gender: Male Female
Meal Preferences: Vegetarian Non-Vegetarian
Number of other companions
(if any)
 



CONTRIBUTED PAPERS
I will submit a paper



TRAVEL CONNECTIONS
Transportation from Kuala Lumpur Intenational Airport (KLIA) to the conference venue will be provided by the host. Please provide the flight details for us to better assist you.
Arrival Date / Time 

Flight Number 

Departure Date / Time

Flight Number